Therapists in Austin, TX

View neighborhoods in Austin
Photo of Rhiannon Hedrick in Austin, TX
Rhiannon Hedrick
BS, Intern
Verified Verified
Austin, TX 78759
Waitlist for new clients
My internship experience begins at Austin Family Care, a group practice that works through a systemic lens offering individual, family, children/adolescent, couples, and group therapy. Whether you've already identified your therapeutic goals or are simply seeking a collaborative space for reflection and support, I'm here for you. In sessions together, we'll explore the quality of the relationships in your life so we can better understand the complex, multi-faceted relationship with yourself. I believe that deepening our connection to self, and to others, empowers us to live with authenticity, empathy, and radical acceptance.
My internship experience begins at Austin Family Care, a group practice that works through a systemic lens offering individual, family, children/adolescent, couples, and group therapy. Whether you've already identified your therapeutic goals or are simply seeking a collaborative space for reflection and support, I'm here for you. In sessions together, we'll explore the quality of the relationships in your life so we can better understand the complex, multi-faceted relationship with yourself. I believe that deepening our connection to self, and to others, empowers us to live with authenticity, empathy, and radical acceptance.
(512) 865-6490 View (512) 865-6490
Photo of Deana Reed, Licensed Professional Counselor in Austin, TX
Deana Reed
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Austin, TX 78746
At times, the stress of life can become overwhelming or downright painful. Having someone to help you navigate this difficult season could be the answer to finding healing. I understand that pain and conflict can affect every area of our lives if left unidentified and unexplored. My desire is to help you come to a place where you recognize the root of the pain, and determine where unhealthy perceptions, patterns, and behaviors originate.
At times, the stress of life can become overwhelming or downright painful. Having someone to help you navigate this difficult season could be the answer to finding healing. I understand that pain and conflict can affect every area of our lives if left unidentified and unexplored. My desire is to help you come to a place where you recognize the root of the pain, and determine where unhealthy perceptions, patterns, and behaviors originate.
(512) 861-8930 View (512) 861-8930
Photo of Fearless Journey Coaching and Therapy, Licensed Professional Counselor in Austin, TX
Fearless Journey Coaching and Therapy
Licensed Professional Counselor, MEd
Verified Verified
Austin, TX 78746
Sonia is an experienced counselor who has worked with many populations, including children, adolescents, and adults experiencing trauma, addiction, depression and varying degrees of mental health concerns. She holds the strong belief that mental health is just as important as physical health. Her unique approach uses a combination of techniques and strategies to promote mental health and well-being. She will collaborate with you to find the solutions that best address the issues you face, whether it is depression, anxiety, ADD/ADHD, substance abuse, relationship complexities, or healthy sexuality. Sonia is also trained in Ketamine A
Sonia is an experienced counselor who has worked with many populations, including children, adolescents, and adults experiencing trauma, addiction, depression and varying degrees of mental health concerns. She holds the strong belief that mental health is just as important as physical health. Her unique approach uses a combination of techniques and strategies to promote mental health and well-being. She will collaborate with you to find the solutions that best address the issues you face, whether it is depression, anxiety, ADD/ADHD, substance abuse, relationship complexities, or healthy sexuality. Sonia is also trained in Ketamine A
(737) 530-8513 View (737) 530-8513
Photo of Vanessa Rodriguez, Psychologist in Austin, TX
Vanessa Rodriguez
Psychologist, PhD
Verified Verified
Austin, TX 78759
Coping with stress, transitions, and life's challenges can be difficult, but it is not one that you have to face alone. My goal is to provide the support and tools that are needed to manage the emotional distress that come with unsettling times. I work with individuals all along the lifespan using a person-centered and integrative approach to meet a client's needs. While I work with clients of all ages, I also specialize in working in infant/toddler mental health and with those who have experienced trauma and violence.
Coping with stress, transitions, and life's challenges can be difficult, but it is not one that you have to face alone. My goal is to provide the support and tools that are needed to manage the emotional distress that come with unsettling times. I work with individuals all along the lifespan using a person-centered and integrative approach to meet a client's needs. While I work with clients of all ages, I also specialize in working in infant/toddler mental health and with those who have experienced trauma and violence.
(512) 764-0555 View (512) 764-0555
Photo of Abigail Blaisdell, Clinical Social Work/Therapist in Austin, TX
Abigail Blaisdell
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78757
My expertise lies in treating mood disorders such as depression, bipolar and anxiety as well as trauma, relationship issues, and issues around sex, sexuality, and sexual health. Sex positive, kink friendly, LGBTQIA+
My expertise lies in treating mood disorders such as depression, bipolar and anxiety as well as trauma, relationship issues, and issues around sex, sexuality, and sexual health. Sex positive, kink friendly, LGBTQIA+
(737) 302-5456 View (737) 302-5456
Photo of Ashley Trabon in Austin, TX
Ashley Trabon
PA
Verified Verified
1 Endorsed
Austin, TX 78731  (Online Only)
I am a board certified psychiatric physician assistant with prescribing authority. I offer medication management, alone or in combination with psychotherapy, to adults. We schedule new patient appointments through a form on our website, www.pondworkspsychiatry.com. Please provide the requested information, and a member of our staff will respond promptly!
I am a board certified psychiatric physician assistant with prescribing authority. I offer medication management, alone or in combination with psychotherapy, to adults. We schedule new patient appointments through a form on our website, www.pondworkspsychiatry.com. Please provide the requested information, and a member of our staff will respond promptly!
(512) 543-2415 View (512) 543-2415
Photo of Ini Ekpenyong, Clinical Social Work/Therapist in Austin, TX
Ini Ekpenyong
Clinical Social Work/Therapist, LMSW, LCDCi
Verified Verified
Austin, TX 78748
Waitlist for new clients
Hi there, it's so nice to meet you and I'm so happy that you have decided to embark on this healing journey. I am a first generation Nigerian America therapist in Austin, TX. I work with a broad range of mental health diagnoses such as anxiety, depression, ADHD, OCD, Borderline Personality Disorder, eating disorders, and addiction. My therapeutic style is warm and empathetic, but I will still call you out while maintaining a safe space. I am also aware of how the body stores trauma and can offer guidance on re-regulating your nervous system through somatic experiencing.
Hi there, it's so nice to meet you and I'm so happy that you have decided to embark on this healing journey. I am a first generation Nigerian America therapist in Austin, TX. I work with a broad range of mental health diagnoses such as anxiety, depression, ADHD, OCD, Borderline Personality Disorder, eating disorders, and addiction. My therapeutic style is warm and empathetic, but I will still call you out while maintaining a safe space. I am also aware of how the body stores trauma and can offer guidance on re-regulating your nervous system through somatic experiencing.
(512) 967-8366 View (512) 967-8366
Photo of Joshua Nash, Licensed Professional Counselor in Austin, TX
Joshua Nash
Licensed Professional Counselor, LPC
Verified Verified
Austin, TX 78759  (Online Only)
You're wanting to start counseling and here you are, at the first step. So how do you choose a therapist out of a sea of faces? I think the truth is pretty simple: you go with your gut. Lots of evidence shows that it is the counseling relationship-rather than theory or modality used-that is the causal factor of change. It's my firm belief that the overriding factors needed in that relationship are trust, patience, and kindness. You'll get those from me because that's what I give myself. That's what leads to change.
You're wanting to start counseling and here you are, at the first step. So how do you choose a therapist out of a sea of faces? I think the truth is pretty simple: you go with your gut. Lots of evidence shows that it is the counseling relationship-rather than theory or modality used-that is the causal factor of change. It's my firm belief that the overriding factors needed in that relationship are trust, patience, and kindness. You'll get those from me because that's what I give myself. That's what leads to change.
(512) 520-0855 View (512) 520-0855
Photo of Sydney Head, Clinical Social Work/Therapist in Austin, TX
Sydney Head
Clinical Social Work/Therapist, LCSW
Verified Verified
6 Endorsed
Austin, TX 78759
I like to think of therapy as investing in yourself. You're the one person you are guaranteed to spend your entire life with, and there's no breaks from being with you. Prioritizing your mental well-being is an important step in reaching a place where you can feel content and satisfied in the relationship with yourself. This, in turn, will move you forward in ways that help you create meaningful connections with others, build community, and stride toward your goals in life. That path might seem scary and uncertain, you might even think it impossible, but I want you to know it IS possible and you don't have to walk it alone.
I like to think of therapy as investing in yourself. You're the one person you are guaranteed to spend your entire life with, and there's no breaks from being with you. Prioritizing your mental well-being is an important step in reaching a place where you can feel content and satisfied in the relationship with yourself. This, in turn, will move you forward in ways that help you create meaningful connections with others, build community, and stride toward your goals in life. That path might seem scary and uncertain, you might even think it impossible, but I want you to know it IS possible and you don't have to walk it alone.
(512) 559-1925 View (512) 559-1925
Photo of Axl Larrison, LPC Associate in Austin, TX
Axl Larrison
LPC Associate, MA
Verified Verified
1 Endorsed
Austin, TX 78746
What’s standing in the way of what matters to you? Sometimes it’s trauma. Or a relationship you can’t seem to heal from. Maybe drugs are helping you cope but blocking your authentic self. Career stress sucks too. And our partners and friends can be sources of great joy or great discomfort. Will these challenges drown you? Absolutely not. You have the courage within you to find meaning in this suffering.
What’s standing in the way of what matters to you? Sometimes it’s trauma. Or a relationship you can’t seem to heal from. Maybe drugs are helping you cope but blocking your authentic self. Career stress sucks too. And our partners and friends can be sources of great joy or great discomfort. Will these challenges drown you? Absolutely not. You have the courage within you to find meaning in this suffering.
View
Photo of Dianna Lynn Collier in Austin, TX
Dianna Lynn Collier
MA, LSSP, CPPC
Verified Verified
Austin, TX 78746  (Online Only)
Are you experiencing a challenging transition? Are you rethinking your career path or looking to re-craft your current role? Uncertain how to make changes that will provide greater meaning & joy in your life? Want to move forward on a big goal but not certain how? Let's connect and get started! As a certified positive psychology coach, I partner with clients to create meaningful goals & make positive changes by looking at client strengths, resources, values and past successes. We will create a map of your path to achieve your goals. My approach is solution focused & uses research based processes and tools to make change.
Are you experiencing a challenging transition? Are you rethinking your career path or looking to re-craft your current role? Uncertain how to make changes that will provide greater meaning & joy in your life? Want to move forward on a big goal but not certain how? Let's connect and get started! As a certified positive psychology coach, I partner with clients to create meaningful goals & make positive changes by looking at client strengths, resources, values and past successes. We will create a map of your path to achieve your goals. My approach is solution focused & uses research based processes and tools to make change.
(737) 510-7571 View (737) 510-7571
Photo of Anne Claire Woods, Licensed Professional Counselor in Austin, TX
Anne Claire Woods
Licensed Professional Counselor, MA, CCLS, LPC
Verified Verified
Austin, TX 78759
Life is busy and can be complicated and messy. Balancing relationships, family, work, and your health is a challenge. You probably can’t remember the last time you took the time to care for YOU! Do you struggle to find balance in your life and time to take care of yourself? Do you struggle with partner, personal, or professional relationships? Do you feel defeated as a parent? Do you feel overwhelmed by feelings, worries, and stress? Do you feel exhausted from creating “what ifs” in your head, feeling dread and uncertainty about the future? Does chronic illness impact your life? Don’t worry, there is hope!
Life is busy and can be complicated and messy. Balancing relationships, family, work, and your health is a challenge. You probably can’t remember the last time you took the time to care for YOU! Do you struggle to find balance in your life and time to take care of yourself? Do you struggle with partner, personal, or professional relationships? Do you feel defeated as a parent? Do you feel overwhelmed by feelings, worries, and stress? Do you feel exhausted from creating “what ifs” in your head, feeling dread and uncertainty about the future? Does chronic illness impact your life? Don’t worry, there is hope!
(512) 982-4889 View (512) 982-4889
Photo of Sonia Negrete, Clinical Social Work/Therapist in Austin, TX
Sonia Negrete
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78750
I believe that you are the expert in your life and my job is to help you become your best self, as you define it. Life demands can get in our way and throw us off track. I am here to help you find the balance you are looking for. My approach is collaborative, client centered, and solution oriented. Each client is unique and sessions are tailored to the individual. I use a variety of techniques rooted in CBT, behavior modification, and problem solving therapy.
I believe that you are the expert in your life and my job is to help you become your best self, as you define it. Life demands can get in our way and throw us off track. I am here to help you find the balance you are looking for. My approach is collaborative, client centered, and solution oriented. Each client is unique and sessions are tailored to the individual. I use a variety of techniques rooted in CBT, behavior modification, and problem solving therapy.
(737) 373-3062 View (737) 373-3062
Photo of Amelia Canally, Clinical Social Work/Therapist in Austin, TX
Amelia Canally
Clinical Social Work/Therapist, LCSW, CGP
Verified Verified
1 Endorsed
Austin, TX 78746
Hi and welcome! Therapy is a powerful and life changing force and the therapist client fit is the most important element in making therapy worthwhile and effective. Most clients who seek therapy with me are working through relationship issues (either old wounds from family of origin or current relationship issues), loneliness, parenting adjustments or struggles, loss, divorce or separation, connection challenges or relationship betrayal.
Hi and welcome! Therapy is a powerful and life changing force and the therapist client fit is the most important element in making therapy worthwhile and effective. Most clients who seek therapy with me are working through relationship issues (either old wounds from family of origin or current relationship issues), loneliness, parenting adjustments or struggles, loss, divorce or separation, connection challenges or relationship betrayal.
(512) 271-5368 View (512) 271-5368
Photo of Nicole Warren, Marriage & Family Therapist in Austin, TX
Nicole Warren
Marriage & Family Therapist, LMFT-S, LCDC, RYT
Verified Verified
Austin, TX 78754
*Not currently taking new clients* Hello! I provide support to those of us who don't always fit in and have experienced some rough times. Being human is not always easy and it can generate “stuff”. Maybe the “stuff” you're experiencing right now is feeling overwhelmed from anxiety, addiction or life transitions. It may feel like nothing seems to be helping and you're alone… like your miles away from the “you” that you want to be. Let’s get you some tools to break this pattern because you're looking here and you're ready for a change.
*Not currently taking new clients* Hello! I provide support to those of us who don't always fit in and have experienced some rough times. Being human is not always easy and it can generate “stuff”. Maybe the “stuff” you're experiencing right now is feeling overwhelmed from anxiety, addiction or life transitions. It may feel like nothing seems to be helping and you're alone… like your miles away from the “you” that you want to be. Let’s get you some tools to break this pattern because you're looking here and you're ready for a change.
(737) 204-3467 View (737) 204-3467
Photo of Stephanie Trueblood, Licensed Professional Counselor in Austin, TX
Stephanie Trueblood
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Austin, TX 78746
Not accepting new clients
Do you find yourself feeling stuck or immobilized by indecision in relationships, career choices, etc? Do peace and happiness feel just beyond your grasp? Does it feel like you keep re-living the same patterns in relationships and arguments, that just aren't working for you or your partner anymore? I am passionate about empowering women, men, and teens as they navigate tough issues such as perfectionism, indecision, relationship difficulties, and the aftermath of trauma. I also enjoy assisting couples as we explore the complexities of communication, intimacy, connection, and what it means to foster a satisfying relationship.
Do you find yourself feeling stuck or immobilized by indecision in relationships, career choices, etc? Do peace and happiness feel just beyond your grasp? Does it feel like you keep re-living the same patterns in relationships and arguments, that just aren't working for you or your partner anymore? I am passionate about empowering women, men, and teens as they navigate tough issues such as perfectionism, indecision, relationship difficulties, and the aftermath of trauma. I also enjoy assisting couples as we explore the complexities of communication, intimacy, connection, and what it means to foster a satisfying relationship.
(512) 337-4342 View (512) 337-4342
Photo of Geode Health , LPC-Associate in Austin, TX
Geode Health
LPC-Associate, MA, LPC
Verified Verified
1 Endorsed
Austin, TX 78746
Open and taking new clients! (telehealth) The "ideal client" I imagine working with is an individual that is characterized by having difficulty coping with anxiety, self-esteem, ADHD, relationships, and offer Christian based counseling. The needs of the client I imagine would be empathy and compassion towards that individual, space for their voice to heard and their story to be respected. I imagine my ideal client would desire "practical" but, "impactful" coping techniques to alleviate symptoms. I imagine my "ideal" client aspiring to regain "control" back into their lives and to feel "empowered."
Open and taking new clients! (telehealth) The "ideal client" I imagine working with is an individual that is characterized by having difficulty coping with anxiety, self-esteem, ADHD, relationships, and offer Christian based counseling. The needs of the client I imagine would be empathy and compassion towards that individual, space for their voice to heard and their story to be respected. I imagine my ideal client would desire "practical" but, "impactful" coping techniques to alleviate symptoms. I imagine my "ideal" client aspiring to regain "control" back into their lives and to feel "empowered."
(630) 324-4767 View (630) 324-4767
Photo of Suni Housty, Clinical Social Work/Therapist in Austin, TX
Suni Housty
Clinical Social Work/Therapist, LMSW
Verified Verified
Austin, TX 78746
I am a board-licensed private practice therapist based in Austin, Texas. My approach to therapy is humanistic, holistic, strengths-based, and relational. When you’re struggling with your mental health, it can feel lonely and isolating because it can seem like you’re the only one going through a rough time. The truth is, we all have those seasons in our lives and all we really want is someone to support us through it with untiring compassion and care. I welcome the opportunity to be that for you as your therapist and work together with you to heal your problematic thoughts and behaviors.
I am a board-licensed private practice therapist based in Austin, Texas. My approach to therapy is humanistic, holistic, strengths-based, and relational. When you’re struggling with your mental health, it can feel lonely and isolating because it can seem like you’re the only one going through a rough time. The truth is, we all have those seasons in our lives and all we really want is someone to support us through it with untiring compassion and care. I welcome the opportunity to be that for you as your therapist and work together with you to heal your problematic thoughts and behaviors.
(512) 598-6902 View (512) 598-6902
Photo of Arden Dana, Clinical Social Work/Therapist in Austin, TX
Arden Dana
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78705
Individuals feeling stressed and anxious trying to juggle all life’s challenges and commitments, looking to improve their coping skills. Those who are feeling depressed and overwhelmed by their own challenges and those of the world hoping to learn ways to manage mood and emotion. Parents, looking for positive ways to help their children grow, manage emotions and behavior. People who are looking for ways to heal from trauma and move forward toward a healthier, happier life. Individuals who are are also trying not only to learn about themselves but also to learn about the people they love and how to best support and interact with them
Individuals feeling stressed and anxious trying to juggle all life’s challenges and commitments, looking to improve their coping skills. Those who are feeling depressed and overwhelmed by their own challenges and those of the world hoping to learn ways to manage mood and emotion. Parents, looking for positive ways to help their children grow, manage emotions and behavior. People who are looking for ways to heal from trauma and move forward toward a healthier, happier life. Individuals who are are also trying not only to learn about themselves but also to learn about the people they love and how to best support and interact with them
(512) 890-1899 View (512) 890-1899
Photo of ATX Therapy Center, Licensed Professional Counselor in Austin, TX
ATX Therapy Center
Licensed Professional Counselor, LPC, LMFT, LCSW
Verified Verified
Austin, TX 78759
It takes great courage to recognize when you could use some additional support in your life, and even more courage to take the first step in reaching out. It may feel easier at times to suffer in silence. ATX Therapy Center is very glad you're here - you deserve to receive the support you need to overcome life's challenges that you are facing, and live your best life. Our team of expert, professional clinicians have experience in helping people with a wide variety of life situations and struggles. We accept most major insurance plans and want to make sure that you have access to affordable, quality healthcare - we're here to help!
It takes great courage to recognize when you could use some additional support in your life, and even more courage to take the first step in reaching out. It may feel easier at times to suffer in silence. ATX Therapy Center is very glad you're here - you deserve to receive the support you need to overcome life's challenges that you are facing, and live your best life. Our team of expert, professional clinicians have experience in helping people with a wide variety of life situations and struggles. We accept most major insurance plans and want to make sure that you have access to affordable, quality healthcare - we're here to help!
(737) 265-7408 View (737) 265-7408

How does your Therapist compare?

Number of Therapists in Austin, TX

3,000+

Average cost per session

$150

Therapists in Austin, TX who prioritize treating:

93% Anxiety
88% Depression
76% Relationship Issues
76% Self Esteem
70% Trauma and PTSD
69% Stress
68% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

78% Aetna
74% UnitedHealthcare UHC | UBH
64% BlueCross and BlueShield

How Therapists in Austin, TX see their clients

55% In Person and Online
45% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Austin?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.